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SA Final Exam
Stars Academy Final Exam
| Question | Answer |
|---|---|
| Specimen collection procedures are part of which phase of laboratory workflow cycle? | preexamination |
| Which of the following is the main area of responsibility for every phlebotomist? | preanalytic processes |
| Part of being a responsible member of a health care team involves | understanding the mission, goals and objectives |
| In order to protect themselves on the job, phlebotomists should have which character trait? | propensity for cleanliness |
| All clinical laboratories are regulated by which of the following agencies? | CLIA |
| The CLIA category of "waived tests" are laboratory procedures that | are the lowest risk to the patient |
| An example of an unfavorable patient outcome during or after a phlebotomy procedure would be if the patient | faints after the venipuncture |
| Which is an example of a barrier to communication with a patient? | a loud tv |
| DOB stands for | date of birth |
| Which of the following statement is appropriate during a phlebotomy procedure? | Could you please spell your last name for me? |
| What feelings does one experience when a stranger gets too close for comfort? | anxiety |
| Which of the following data should be considered confidential? | laboratory test results |
| What is the most error-free method for requesting a laboratory test? | computerized method |
| What is the legal term for improper or unskillful care of a patient by a member of the health care team, or any professional misconduct, unreasonable lack of skill, or infidelity in professional or judiciary duties? | malpractice |
| Which of the following legal branches writes regulations that enforce the laws? | legislative branch |
| A child who refused to have his blood collected was locked in a room by a health care worker and was forced to have his blood collected. This is an example of which legal concept? | Assault and battery |
| Which legal concept refers to the voluntary permission by a patient to allow touching, examination, and/or treatment by health care providers? | implied consent |
| When should incident reports involving accidental HIV exposures be reported? | immediately |
| Informed consent refers to | a health care worker's right to perform blood collection on the patient since the patient has signed hospital documents for having medical procedures |
| A national organization that develops guidelines and sets national standards for laboratory procedures is the | Joint Commission |
| Respondeat superior | holds the employer responsible for acts of the employee(s) |
| Which of the following is/are the links in the chain of infection? | susceptible host, source, mode of transmission |
| What is/are the primary function(s) of isolation procedures? | prevent transmission of communicable diseases |
| Nurses, physicians, and other health care workers are responsible for knowing the procedures of which type(s) of isolation? | airborne, standard precautions |
| Protective isolation is generally used for | a pediatric patient who has an immunodeficiency |
| Airborne precautions may be required for patients with infections such as | tuberculosis, whooping cough |
| According to the OSHA standards for occupational exposure to blood-borne pathogens, which of the following is a PPE? | fluid-resistant gown, goggles, respirator |
| Safe working conditions in the health care environment are federally regulated by | OSHA |
| Class C fires are | electrical fires |
| What are the major principles of self-protection from radiation exposure? | shielding, time, distance |
| Which of the following safety rules is not appropriate for a patient's room? | provide the patient with medications on the patient's bedside if the patient asks for them. |
| Which of the following is a main objective in treating a shock victim? | improve circulation |
| The first step in providing breathing aid to a victim in an emergency situation is to | send for medical assistance |
| the Right to Know law originated with | OSHA |
| If an electrical accident occurs involving electrical shock to an employee or a patient, the first thing that the health care worker should do is | shut off electrical power |
| A chemical is spilled onto a health care worker, he or she should first | rinse the area with water |
| Which layers make up human skin? | epidermis, dermis and subcutaneous |
| Which of the following body systems provides for CO2 and O2 gas exchange? | respiratory |
| Which of the following are important anatomical structures of the respiratory system? | pharynx, trachea, bronchiole and alveolus |
| Which of the following cell structures is the control center for a cell? | nucleus |
| What portion of human body weight is water? | 90% |
| Homeostasis refers to which of the following? | steady-state condition |
| Whole blood consists mostly of which of the following? | water |
| Which type of blood cell is responsible for gas exchange in the circulating blood? | red blood cells |
| Which type of blood cell is responsible for defense and immunity? | white blood cells |
| The liquid portion of a blood specimen (without an anticoagulant) is called | serum |
| Which of the following veins is the preferred vein for venipuncture procedures? | median cubital |
| Which blood test includes WBC and RBC counts, hemoglobin and hematocrit? | CBC |
| the most common blood type is | O |
| Which of the following anticoagulants is found in a purple-topped blood collection vacuum tube? | EDTA |
| Which of the following anticoagulants is found in a pink-topped blood collection vacuum tube? | EDTA |
| For capillary collection from newborns, a lancet of which of the following lengths should be used to avoid penetrating bone? | 1.75mm |
| Which of the following blood chemical constituents is light sensitive? | bilirubin |
| Which of the following vacuum tubes is used to collect blood so that the serum can be separated from the blood cells as quickly as possible? | SST |
| From the listed needle gauges, which one has the smallest diameter? | 23 |
| Which of the following needs to be collected in a purple-topped vacuum tube? | CBC |
| which of the following a glycolytic inhibitor? | Sodium flouride |
| Small red spots on a patient's skin due to a blood clotting abnormality is referred to as | petechiae |
| What cleansing agent can be used for a patient's venipuncture site if the patient is allergic to iodine and alcohol? | chlorhexidine |
| A decrease in the plasma volume with an increased concentration of cells and larger molecules is referred to as | hemoconcentration |
| Which of the following laboratory test results are affected most if the patient is not fasting? | triglycerides and glucose |
| An abnormal accumulation of fluid in the intercellular spaces of the body that is localized or diffused is referred to as | edema |
| If the tourniquet is applied for longer than three minutes, which of the following analytes will most likely become falsely elevated? | potassium |
| A hospitalized patient may not be identified by of the following means? | patient's chart |
| The most common sites for venipuncture are in which of the following areas? | the antecubital area of the arm |
| Using a butterfly needle is beneficial for | geriatric patients |
| What effect does warming the site have on venipuncture? | increases localized blood flow |
| How long should the tourniquet be placed around the patient's arm? | no more than one minute |
| Of the following specimens, which should be the first tube collected in the suggested order of draw using the evacuated tube system? | blood culture |
| Containers for the disposal of needles and syringes should have which of the following features? | puncture resistance |
| Which of the following is a preferred site for a capillary puncture? | third finger |
| Controlling the depth of lancet insertion during skin puncture prevents which of the following? | osteomyelitis |
| Which finger(s) are used most often for skin puncture? | third or fourth finger |
| If alcohol is used to decontaminate a capillary puncture site, which of the following is an essential step? | allowing the site to air dry prior to the puncture |
| The best angle for using two glass slides to make a blood smear is approximately | 30 degrees |
| Which one of the following would be considered a preexamination/preanalytical error | underfilling the aliquot container |
| Which blood specimen should be kept warm during transport to the laboratory? | cold agglutinins |
| Which analyte is photosensitive? | bilirubin |
| Which of the following practices will likely cause hemolysis? | shaking the tube to mix the contents |
| Serum should be removed from blood cells after which time period? | 120 minutes |
| A specimen should be chilled for which of the following analyses? | blood gas |
| Performing blood collection on a child is challenging because | a child is less emotionally mature than an adult |
| Which is the best location for performing a phlebotomy on a hospitalized child? | treatment room |
| Which is the preferred site for a heel stick? | medial or lateral aspect |
| Diabetes mellitus is caused by the inability of the pancreas to make or to use which substance? | insulin |
| What is the next step after the skin is punctured to obtain blood for glucose monitoring? | use a dry, sterile gauze pad to remove the first drop of blood |
| Which of the following is the preferred site for blood collection for ABG analysis? | radial artery |
| The reason for performing the modified Allen test is to | determine that the ulnar and radial arteries provide collateral circulation |
| Which of the following supplies is not needed during an arterial puncture for an ABG determination? | tourniquet |
| Which of the following evacuated tubes is preferred for the collection of a blood culture specimen? | yellow-topped evacuated tube |
| During a glucose tolerance test, which procedure is acceptable? | the patient should be encouraged to drink water throughout the procedure |
| Autologous transfusion is to prevent which of the following possibilities? | antibodies forming in the transfused patient |
| When blood is drawn from the radial artery for an ABG determination, the needle should be inserted at an angle of no less than | 30 degrees |
| Which of the following can be used in children and infants to diagnose whooping cough? | nasopharyngeal culture |
| Which type of urine specimen is needed to detect an infection? | clean-catch |
| The O&P analysis is requested on which type of specimen? | fecal matter |
| Which of the following is an example of an illicit drug? | marijuana |
| Gateway drugs include | alcohol and tobacco |
| What is the purpose of a chain of custody process? | account for a specimen from point of collection to final disposition |
| Urine specimen containers used in federal workplace testing usually have which of the following? | temperature strips |
Created by:
kbbruner
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